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NPI 1861447294

NPI 1861447294 : BRIAN KEITH APIN PT : COVINA, CA

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General NPI Number Information
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    NPI Number           |    1861447294
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    Entity Type          |    Individual 
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    Provider Name        |    BRIAN KEITH APIN PT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/24/2006
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    Last Update Date     |    12/06/2024
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Provider Practice Location Address
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    Address Line         |    414 E SAN BERNARDINO RD 
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    City                 |    COVINA
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    State                |    CA
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    Zip                  |    91723-1704
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    Country              |    US
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    Telephone            |    626-367-3206
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    414 E SAN BERNARDINO RD 
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    City                 |    COVINA
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    State                |    CA
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    Zip                  |    91723-1704
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    Country              |    US
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    Telephone            |    626-367-3206
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    32229
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    License Number State |    CA
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